In the United States, an estimated 72,000-125,000 children and adolesc
ents will lose their mothers to AIDS by the year 2000. Six cities have
been particularly hard hit: New York City, Newark, Miami, San Juan, L
os Angeles, and Washington, DC. The most urgent unmet needs for childr
en, their families and new guardians are for mental health services, i
ncluding bereavement counselling; transitional services to help overco
me the loss of AIDS-related benefits following the parent's death; leg
al services; housing supports, and appropriate evaluations and referra
ls by juvenile justice and school staff to community-based services. P
rofessional staff need additional training and support. Public policie
s and legal standards should stress a preference for maintaining child
ren in their extended families, broadly defined, whenever possible. Mu
ch more needs to be done to improve the lives and futures of these you
th.